Martin Ibeawuchi

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

844821 Issued in TX

Practice address

13 Black Horse Pike Apt 2B
Haddon Heights, NJ 08035-1042

Phone

(863) 835-0107

NPI assigned

Oct 17, 2013

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX, CA, NV, DC, MD5 enrollments

Enrollment records 5

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Medstar Medical Group II LLCGroup PAC ID 0547413825, 3,726 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Medstar Montgomery Medical Center Hospital, Olney, MD, CCN 210018
• Medstar Southern Maryland Hospital Center Hospital, Clinton, MD, CCN 210062

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Medstar Medical Group II LLC

  • General Practice Physician
  • Baltimore, MD
  • NPI 1184046187

  DC

  Medicare reassignment Care Compare group NPD
• Amin, Dunckelmeyer and Luu PLLC

  • Anesthesiology Physician
  • Las Vegas, NV
  • NPI 1093410045
  Medicare reassignment NPD
• Anesthesia Services of San Joaquin, P.C.

  • Anesthesiology Physician
  • French Camp, CA
  • NPI 1366778227
  Medicare reassignment NPD
• Medstar Medical Group Anesthesiology LLC

  • Anesthesiology Physician
  • Baltimore, MD
  • NPI 1528578333

  DC

  Medicare reassignment NPD
• Northstar Anesthesia, PA

  • Anesthesiology Physician
  • Arlington, TX
  • NPI 1912978610

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Premier Anesthesia of California, PC

  • Anesthesiology Physician
  • San Ramon, CA
  • NPI 1770691859

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Premier Anesthesia of Huntsville a Division of Premier Anesthesia LLC

  • Anesthesiology Physician
  • McAllen, TX
  • NPI 1346570355

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Red Rock Anesthesia Consultants LLC

  • Anesthesiology Physician
  • Las Vegas, NV
  • NPI 1235660002
  Medicare reassignment NPD
• Medstar Medical Group Anesthesiology LLC

  • Anesthesiology Physician
  • Washington, DC
  • NPI 1558976175
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Medstar Southern Maryland Hospital Center Inc

  • General Acute Care Hospital
  • Clinton, MD
  • NPI 1366790693
  Care Compare affiliation
• Montgomery General Hospital, Inc.

  • General Acute Care Hospital
  • Olney, MD
  • NPI 1114922341
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1381968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381968000000",
    "number": "1255769832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 BLACK HORSE PIKE APT 2B",
            "city": "HADDON HEIGHTS",
            "state": "NJ",
            "postal_code": "080351042",
            "telephone_number": "863-835-0107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 BLACK HORSE PIKE APT 2B",
            "city": "HADDON HEIGHTS",
            "state": "NJ",
            "postal_code": "080351042",
            "telephone_number": "863-835-0107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IBEAWUCHI",
        "first_name": "MARTIN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-10-17",
        "last_updated": "2013-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "844821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valerie N Horn, D.O.
• Rachael Houtman, PT, DPT
• Gail Carol Howarth
• Joanna E Hunter, RDN
• Katherine Hutchings, MM, MA, MT-BC, LAC
• Raluca Isenberg, CRNP
• James L Izanec, MD
• Leena Rachel Jacob, D.O.
• Hemangkumar Javaiya
• Jersey Behavior Consulting LLC

• Certified Registered Nurse Anesthetist in Haddon Heights, NJ
• Providers in Haddon Heights, NJ by specialty
• Certified Registered Nurse Anesthetist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.